电针治疗椎动脉型颈椎病疗效观察.pdfVIP

上海针灸杂志2014 年5 月第33 卷第5 期 ·451 · 文章编号:1005-0957(2014)05-0451-03 ·临床研究· 电针治疗椎动脉型颈椎病疗效观察 1 2 王峰,蔡以生 (1.上海市黄浦区香山中医医院,上海 200020;2.上海市嘉定区中医医院,上海 201800) 【摘要】 目的 观察电针和益气聪明汤治疗椎动脉型颈椎病(CSA)的临床疗效并探讨其可能的机制。方法 将 100 例CSA 患者随机分为治疗组和对照组,每组50 例。治疗组采用电针治疗,对照组采用口服益气聪明汤治疗。观察两组治疗前后疼痛 视觉模拟评分、TCD 检查结果及治疗后6 个月复发情况和不良反应,比较两组临床疗效。结果 治疗组总有效率为84.0%,对 照组为88.0%,两组临床疗效比较,差异无统计学意义(P＞0.05)。两组治疗后VAS 评分与同组治疗前比较,差异均有统计学意 义(P＜0.01)。治疗组治疗前后VAS 评分差值与对照组比较,差异有统计学意义(P＜0.05)。两组治疗后前各椎基动脉(左椎动 脉、右椎动脉、基底动脉)收缩期最大流速与同组治疗前比较,差异有统计学意义(P＜0.01)。治疗组治疗后各椎基动脉收缩 期最大流速与对照组比较,差异均无统计学意义(P＞0.05)。治疗组有效患者复发率为9.5%,对照组为 11.4%,两组比较差异无 统计学意义(P＞0.05)。结论 电针和益气聪明汤均能有效治疗CSA,电针在镇痛效果和避免不良反应方面优于中药治疗。 【关键词】 针刺疗法;电针;颈椎病,椎动脉型;益气聪明汤 【中图分类号】 R246.2 【文献标志码】 A DOI:10.13460/j.issn.1005-0957.2014.05.0451 1 Observations on the Efficacies of Electroacupuncture for Cervical Spondylotic Vertebral Arteriopathy WANG Feng , CAI 2 Yi-sheng . 1.Shanghai Huangpu District Xiangshan Hospital of Traditional Chinese Medicine,Shanghai 200020,China; 2.Shanghai Jiading District Hospital of Trad itional Chinese Medicine,Shanghai 201800,China [Abstract] Objective To investigate the clinical efficacies of electroacupuncture versus Yiqi Congming Tang in treating cervical spondylotic vertebral arteriopathy (CSA) and explore the possible mechanisms. Methods One hundred CSA patients were randomly allocated to treatment and control groups, 50 cases each. The treatment group received electroacupuncture and the control group, oral administration of Yiqi Congming Tang. Methods In the two groups, the Visual Analog Pain Scale score was counted and the outcome of TCD examination was evaluated before and